Prevention & Early Diagnosis Programme
The Prevention & Early Diagnosis Programme supports the Macmillan Outcome, 'I was diagnosed early'. This outcome was identified in Macmillan's Cancer in the UK 2014 State of the Nation report, as one of the nine biggest issues that matter most to cancer patients in the UK today.
Our work pioneers initiatives to ensure that all people affected by cancer can recognise this outcome by 2030, and includes projects to help promote awareness of the benefits of earlier recognition, as well as improve referral and early diagnosis of cancer. We're also developing tools to help GPs and primary care professionals.
Cancer decision support tools
Throughout 2013 we worked collaboratively with BMJ Informatica to develop and pilot an electronic cancer decision support (CDS) tool. Part funded by the Department of Health, the project aimed to help support GPs in their clinical decision making when referring for suspected cancer.
We tested the CDS tool with over 550 GP Practices across the UK to ascertain its usefulness and appropriateness to incorporate within a standard 10 minute GP consultation. The aim being to raise awareness of cancer risk among GPs and to get them to 'think cancer' whilst helping support their decision making in ‘low risk but not no risk’ consultation cases.
Following the success of the pilot, CRUK have produced an executive summary of the project. Currently, we are in the process of working with all of the main GP software providers to develop integrated versions of the CDS tool. Read our software integration update to find out about our progress and how you can keep informed.
In the meantime to register your interest; find out about training options; or for more information on the eCDS project in general, please email us at email@example.com
Cancer decision support tools - training resources
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To help support you in this project we have developed a series of training resources and videos.
Professor Willie Hamilton talks about the Risk Assessment Tool (RAT.)
Background research papers
Prof. Willie Hamilton:
Professor Julia Hippisley Cox answers some FAQs about QCancer.
Prof. Julia Hippisley Cox:
Thanks to Media Trust for their help with making these videos.
We are well aware that different people work in different ways. Over the course of a year the average GP will only see around eight people with a cancer diagnosis, despite seeing many more who have symptoms which might be cancer. This project looks at the different referral styles of GPs, then identifies targeted tools and interventions that best suit their style of referring.
Ww worked with GPs in Bedfordshire and Luton on the first pilot, and we are currently exploring next steps for this project, which is an exciting opportunity for GP practices to work with us on something which could have a big positive impact on cancer diagnosis and referral across the UK.
For more information, please contact firstname.lastname@example.org.
GP Rapid Referral Guidelines
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We are currently in the process of reviewing the toolkit in line with the upcoming release of the new NICE guidance which is due to be released in May, for further information please email the prevention and diagnosis team.
The Rapid Referral Toolkit can be used to assist you in identifying symptoms of cancer, and also provides you with immediate access to NICE referral guidelines. It aims to provide support, guidance and practical solutions to those involved in the improvement of cancer care.
The desktop tool has the option for users to add contact information for local services so that you can signpost patients where appropriate.
Significant Event Audit (SEA)
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The Cancer Significant Event Audit (SEA) Peer Review Pilot was the joint initiative of the RCGP, the National Cancer Action Team (NCAT) and Macmillan Cancer Support.
The one year pilot offered anonymised external peer assessment of SEAs of cancer diagnosis. 13 of the 28 NCAT networks participated, with a total of 95 SEAs received.
Find out more about the project.
As part of our Prevention and Diagnosis programme we are developing ways in which we can continue this work, particularly in encouraging reflective practice and providing support to GPs and primary care professionals.
If you have any questions about the Prevention and Diagnosis Programme, please contact us at email@example.com
England lags behind comparable European countries when it comes to cancer outcomes including 1 and 5 year survival rates, and late diagnosis is one factor for poorer outcomes. Improving early diagnosis therefore has the potential to drastically improve cancer outcomes.
The ACE programme:
Consistently evaluates best practice and innovative approaches to early diagnosis of cancer.
It is an NHS England led programme, which is supported by Cancer Research UK and Macmillan Cancer Support. It seeks to develop the knowledge base on early diagnosis in order to identify and evaluate good practice, which can reduce system delays and improve early diagnosis of cancer.
There was a call for projects in July 2014 and many NHS organisations across England submitted applications to have their projects included in the ACE programme. In total 89 expressions of interest (EOIs) were received and 60 projects were accepted into the ACE programme.
For further information please read this ACE Programme overview or contact Rebecca Taylor, ACE Project manager: firstname.lastname@example.org